Jenelle Clason, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49805 Issued in IL

Practice address

3815 E Main St
Saint Charles, IL 60174-2488

Phone

(630) 584-7330

Fax

(630) 584-7762

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1609425263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E MAIN ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742488",
            "telephone_number": "630-584-7330",
            "fax_number": "630-584-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E MAIN ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742488",
            "telephone_number": "630-584-7330",
            "fax_number": "630-584-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASON",
        "first_name": "JENELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-21-49805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jclason@rushpt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3815 E Main St",
            "city": "Saint Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601742488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zbigniew M Ciechanowski, M.D.
• Jerry Ciffone, MSW, LCSW
• City of St Charlesq
• Chenille Claiborne
• Mary Catherine (Kay) Clarke, MA, LCPC, CADC
• Mary Jennifer Clemons, DPT
• Tracey Burnett Clifford, DR EDD LCSW
• Denny Clouse, MSW/LCSW
• Kameron Nicole Cluchey, MSW, LCSW
• Erin Joan Cluts, MSW, LCSW

• Behavior Analyst in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.